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Examination Registration Form

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www.icm.org.

pk

ERF-1

EXAMINATION Paste
To be filled by the Office Recent
Application # _________ REGISTRATION FORM Passport-
`
size
The applicant should fill all columns in capital letters. Do not overwrite. colour
Tick ( ) mark the appropriate box where necessary. photograph
Please carefully read the instructions at the end of this form before
filling.

Programme Applied For: (Please indicate only one option. For appearing in more than one programme,
use a separate form.)

 Stock Brokers' Certification  Mutual Fund Sales Agents  Pakistan Markets and
Certification Regulations

Examination Registering For: (Please indicate only one option)

 February, 2010  May, 2010  August, 2010  November, 2010

PERSONAL DATA
Applicant's Name

Father's/Husband Name

Programme Enrolment ID
*(Provided by ICM)

FEE SUBMISSION
Please find enclosed a:

PAY ORDER/ DEMAND DRAFT No.* Amount Rs.


_____________________ __________________________________________

Drawn on Bank: Branch:


_____________________________________ _____________________________________________

Amount in words:
___________________________________________________________________________________________

* Candidates from Karachi city should send a pay order while outstation candidates should send a
Institute of Capital Markets
Ph: (92-21) 32072096-7 Email: info@icm.org.pk Website: www.icm.org.pk
demand draft in favour of "INSTITUTE OF CAPITAL MARKETS".

DECLARATION
I hereby certify that the information given above is correct and I take full responsibility for any incorrect
information. I clearly understand that acceptance of my application form and registration in the ICM tests
does not mean qualification of examination.

I hereby agree to abide by the rules and regulations of the ICM, as applicable currently, and
revised/updated/enforced, during the currency of program. I have also read all terms and conditions at
the end of this form.

Date (dd-mm-yy): ________________________ Applicant's Signature:


______________________________________

FOR OFFICE USE ONLY


Examination form and attached documents have been checked and verified. Application accepted for
further processing.
Comments:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Date (dd-mm-yy): ________________________ Registration Officer:


______________________________________

TERMS AND CONDITIONS


1. The Institute's examinations are governed by a number of policies and regulations. It is important
that candidates familiarize themselves with these prior to sitting for examinations. Can be
download from ICM's website.

2. Applications to enter the Institute's examinations constitute acceptance of the Institute of Capital
Markets Examination Regulations. As a minimum, candidates should read these regulations
(please check ICM's website) as these provide essential information on the conduct of the
examination and what the Institute requires of candidates.

3. Candidates are required to complete the Admission form in all respects. Please clearly mark "N/A"
to all columns which are Not Applicable. The form and all required documents should be
completed prior to the examination.

4. Please note, all identification needs to be valid i.e. the date on the identification must not have
expired.

a. The identification that candidates bring to their examination must bear the exact name
that their examination has been booked under. If the name on a candidates’ identification
does not match the name that their examination was booked under, they will not be
allowed to sit.
b. Candidates must show proof of their identity (other than the entry acknowledgement
letter) to any ICM examination official who requests it.
c. Candidates must bring to the examination the identification (photo identity), with a
photograph (that resemble your current appearance), name, and signature, and their
Institute of Capital Markets
Ph: (92-21) 32072096-7 Email: info@icm.org.pk website: www.icm.org.pk
confirmation letter of registration;
d. ICM’s acceptable identity verification documents are Computerized National Identity Card
(CNIC), Passport and Driving License only.
e. In all cases, ID should be original. Photocopies are not acceptable in any case.

5. For detailed policies, please visit ICM's website at www.icm.org.pk

Please complete and return to:


INSTITUTE OF CAPITAL MARKETS
By dropping this form and other required documents in a sealed envelope at any OCS centre and
mention ICM Account # 28130 in Pakistan. Please clearly mark the envelope addressed to ICM and the
programme applied for.

Institute of Capital Markets


Ph: (92-21) 32072096-7 Email: info@icm.org.pk website: www.icm.org.pk

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